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NPI Code Detail

MEDICARE: MS. GLORIA J. RAMBERG LMHC

MEDICARE: MS. GLORIA J. RAMBERG LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorLH00004119WA

General Provider Information

NPI Number : 1013019561
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. GLORIA J. RAMBERG LMHC
Provider Business Mailing Address
First Line : 9712 NW 4TH CT
Second Line :
City : VANCOUVER
State : WA
Zip : 98665-7527
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 410 E 20TH ST
Second Line :
City : VANCOUVER
State : WA
Zip : 98663-3316
Country : US
Telephone Number : 360-694-9030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2006
Last Update Date : 07/08/2007

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